JOHNNY BLACKMON

Peer Specialist

Active Individual
NPI: 1346002482

Practice Address

1550 S 1000 E
Clearfield, UT 84015

Phone: (385) 456-6275

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1346002482 is the National Provider Identifier for JOHNNY BLACKMON, a Peer Specialist provider located in Clearfield, UT. This NPI was enumerated on January 24, 2024.
JOHNNY BLACKMON practices at 1550 S 1000 E, Clearfield, UT 84015.

Quick Facts

NPI
1346002482
Type
Individual
Enumerated
Jan 24, 2024
Last Updated
Jan 24, 2024

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